Administrative Page for


Blue Shield Employer Group Plans

Blue Shields Website forms & Applications

Compare one plan to another and even this year to last year!

Summary of Benefits

Plan Documents

2019 Underwriting Guidelines

If any links require log in, or you don’t find what you need, just email us [email protected]  and we will get you the form that you need.

 

Documents Library

Below is a cut and paste of what’s on Blue Shield’s website forms & Applications * or  Small Biz Library *

You can also check there or just email us [email protected] .

Click here for    Current Sales and Enrollment Information.

Our Renewal Center * or this link *   is your single source for renewals, quotes, and maintenance. With our new streamlined renewal process, you now can:

  • Compare/add/edit/delete subscribers and dependents to calculate quotes..

Quotit Enrollment, Applications  & Misc. Forms Scroll down the page to Blue Shield

Find EOC’s – Evidence of Coverage for Employee Distribution  

eligibility support line at 800-303-5921  

Producer Connection:

 

For All Renewal Forms and Benefit Summaries.

https://www.blueshieldca.com/producer

GROUP SERVICES: Confirm Member Enrollment and Terminations Phone – 800-325-5166, option 1 Producer’s Online Client List: https://www.blueshieldca.com/producer

SUBMITTING GROUP CHANGES/REQUEST FOR CHANGE FORMS: Fax – 209-367-6603 (please retain your fax confirmation) EMAIL: [email protected]

SUBMITTING NEW EMPLOYEE APPLICATION & SUBSCRIBER/MEMBER CHANGES: Fax – 209-367-6475 EMAIL: [email protected]

BILLING QUESTIONS? Phone – 800-325-5166

groups 1-100, Group Employer Services: (800) 325-5166
View a Quick Reference Guide

UNDERWRITING QUESTIONS/RECERTIFICATION STATUS: 888-834-4263

CLAIMS AND BENEFIT QUESTIONS: PPO DMHC Plans – 800-200-3242 HMO/POS – 800-424-6521

PHARMACY/DRUG COVERAGE QUESTIONS? – 800-535-9481

Cal – COBRA: Phone – 800-228-9474.

 

Enrollment Forms 

Quotit Paper - PDF

Scroll down for what you need 

Forms are in Alphabetical Order by Insurance Company

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Pro Apply

Pro Apply

ONLINE Enrollment Tools - Instructions

Email us for a web  link to get your applications going with Pro Apply

PRO Apply: Flyer (PDF)

10 Reasons to Use PRO Apply: Flyer (PDF)

User Guides

PRO Apply: Quick Guide (PDF)

PRO Apply Intake Form (PDF)

PRO Apply User Guide: Employer (PDF)

PRO Apply User Guide: Employee (PDF)

2 comments on “Administrative

    • Blue Shield of California will be sending rebates to 40,000 small group plan holders. The MLR Medical Loss Ratio for small groups insured by Blue Shield was 79.7%. Because Blue Shield missed the 80% target by 0.3%, it will refund 0.3% of the total health plan premiums paid by the employer and employees in those plans.

      The following subscribers and employer groups will not receive 2018 plan year rebates, since Blue Shield met or exceeded the MLR targets for those health plans.

      Individual and Family members with Blue Shield of California Life & Health Insurance Company (Blue Shield Life) and Blue Shield plans
      Small businesses with Blue Shield Life
      Large groups with Blue Shield Life and Blue Shield plans

      FAQ’s

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